Active NPI
Elizabeth Goldschen
- Speech-Language Pathologist
- Santa Monica, CA
National Provider Identifier
1528616679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 27604
- Practice address
- 3205 Ocean Park Blvd Ste 120
Santa Monica, CA 90405-3233 - Phone
- (310) 581-6430
- NPI assigned
- Sep 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 27604 | CA | Primary |
Addresses
Primary practice location
3205 Ocean Park Blvd Ste 120
Santa Monica, CA 90405-3233
Mailing address
11924 Montana Ave Apt 8
Los Angeles, CA 90049-5015
Phone (818) 730-2929
Other practice location 1
11924 Montana Ave Apt 8
Los Angeles, CA 90049-5015
Phone (818) 730-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27604 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Speech & Language Pathology, Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Pathways Speech and Language | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Santa Monica, CA
- NPI 1770741712
-
- Speech-Language Pathologist
- Santa Monica, CA
- NPI 1497077879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567382400000",
"number": "1528616679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11924 MONTANA AVE APT 8",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495015",
"telephone_number": "818-730-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 OCEAN PARK BLVD STE 120",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053233",
"telephone_number": "310-581-6430"
}
],
"practiceLocations": [
{
"address_1": "11924 Montana Ave Apt 8",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900495015",
"country_code": "US",
"telephone_number": "818-730-2929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDSCHEN",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-02",
"last_updated": "2019-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "27604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.